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TYKEIA SAMUEL
NPI 1497209043
Nurse Practitioner - Family in Brockton, MA

Active since August 12, 2016PECOS EnrolledAccepts Medicare Assignment
179 QUINCY ST STE 2, BROCKTON, MA 02302(617) 237-6838 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2025, Mar 27, 2025, Jan 23, 2017 and 1 more (4 updates tracked since 2016).

About Tykeia Samuel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYKEIA SAMUEL (NPI 1497209043) is an individual family provider in Brockton, Massachusetts, licensed in Massachusetts (RN2294839) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1497209043
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTYKEIA SAMUEL
Location Address179 QUINCY ST STE 2Brockton, MA 02302-2966
Mailing Address179 Quincy St Ste 2Brockton, MA 02302-2966 · (508) 283-3154 · Fax (833) 450-5159
Phone(617) 237-6838
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 12, 2016
Last NPPES UpdateMay 12, 20254 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1497209043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2294839
179 QUINCY ST STE 2, Brockton, MA 02302
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1205 ParkingwayQuincy, MA 02169 · Phone (617) 820-5968
Location 2301 Columbia RdDorchester, MA 02121-3409 · Phone (617) 237-6838
Location 350 Boston StLynn, MA 01904-2538 · Phone (781) 342-4191

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tykeia Samuel is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315220589
PECOS Enrollment IDI20170214000471
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARMA MARCELIN
Internal Medicine
179 QUINCY ST STE 2
BROCKTON, MA 02302
Plymouth County (508) 283-3154
LOUISE C DOBKINS ANP-BC
Nurse Practitioner (Adult Health)
179 QUINCY ST STE 2
BROCKTON, MA 02302
Plymouth County (508) 283-3154
SHEILA BROWN CNP
Nurse Practitioner (Adult Health)
179 QUINCY ST STE 2
BROCKTON, MA 02302
Plymouth County (508) 283-3154

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tykeia Samuel's NPI number?

The NPI number for Tykeia Samuel is 1497209043. It was assigned to this individual provider in the NPPES registry on August 12, 2016.

Where is Tykeia Samuel located?

Tykeia Samuel practices at 179 Quincy St Ste 2, Brockton, MA 02302. The listed phone number is (617) 237-6838.

What is Tykeia Samuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tykeia Samuel enrolled in Medicare?

Yes. Tykeia Samuel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tykeia Samuel affiliated with any hospitals?

According to CMS data, Tykeia Samuel is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Tykeia Samuel was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.